HAL-RAR Procedure (Hemorrhoidal Artery Ligation with Recto Anal Repair)

What Is HAL-RAR?

The HAL-RAR procedure combines two techniques:

• HAL (Hemorrhoidal Artery Ligation): Using a special Doppler-guided proctoscope, the surgeon locates the arteries supplying blood to the hemorrhoids. These arteries are then gently tied off (ligated), reducing the blood flow and causing the hemorrhoids to shrink.

• RAR (Recto Anal Repair): If prolapse (bulging) is present, the surgeon lifts and secures the remaining hemorrhoidal tissue back into its normal position using internal sutures.

Key Benefits:

• Minimally invasive, no cutting or removal of tissue

• Significantly less pain than traditional hemorrhoidectomy

• Performed as a day-case procedure (no overnight hospital stay)

• Quick return to daily activities

• High success and patient satisfaction rates

Who Is It For?

HAL-RAR is ideal for patients with:

• Bleeding internal hemorrhoids (grades II–IV)

• Prolapsed hemorrhoids that can be repositioned

• Persistent symptoms not responding to conservative treatment

What to Expect:

• Procedure Time: Approximately 30–45 minutes

• Anesthesia: Usually performed under general or spinal anesthesia

• Recovery: Most patients return to normal activities within a few days

• Follow-Up: A review is typically scheduled to monitor healing and results